| NPI | 1619971132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NJ 25MA07517400) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA07517400) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 146445) | |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2017-05-19 |